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Ask The Experts

Q&A from the most trusted names in audiology.

Why Order an ABR, Too?

John A. Ferraro, PhD, MS, ASHA Fellow, FAAA

November 21, 2005

I tested a five year old boy this week and was extremely confident in his responses. He has a moderate rising to slight SNHI in the right ear and a mild SNHI rising to normal in the left ear. He passe...   Read More

  


When the Audiologist Has Hearing Loss

Robert M. Traynor, EdD, MBA

November 14, 2005

I work with an audiologist who is 76 years old and has a severe high frequency loss bilaterally. Every time we run a speech discrimination test on a patient for hearing aid evaluation, he miscalculate...   Read More


Contracting Audiology Services to Physicians

Bryan Liang, MD, JD, PhD

November 7, 2005

I am an audiologist working for a private audiology clinic and hearing aid dispensing center. Our facility wants to contract our audiology services to physicians. If we draw up a contract for an hourl...   Read More


Ambient Conditions and Battery Performance

Denis Carpenter

November 7, 2005

I would like to find out the effects of the following on the performance or operation of zinc air cells: the effect of ambient conditions as the result of air pollution, and the effect of temperature...   Read More


T-Coil Based Loop Systems

William Diles, MA, Christine Diles, AuD

October 31, 2005

I am very impressed with LOOP SYSTEMS, but marketing and selling them has been a real challenge for me and my practice associates. How do I get patients to try T-coil based Loop systems, and how can I...   Read More

 


Lyme Disease and Hearing Loss

Lance E. Jackson, MD

October 24, 2005

Do you know of any relationship with Lyme Disease and Tinnitus? Or Lyme Disease and hearing loss?   Read More

  


Articulation Index and Patient Expectations

Gus Hernandez, MA, FAAA

October 17, 2005

I have some patients with low hearing instrument satisfaction after 1 year of use. When I looked at their audiometry I found that they have a very low Articulation Index and their Word recognition was...   Read More


Active-Noise Reduction Headsets

Elliott H. Berger, MS, INCE Bd. Cert.

October 17, 2005

If noise reduction reduces "good" sounds, too, then how do noise-reducing stereo headsets deliver such good sound? Could their design be used for hearing aids?   Read More

 


Bi-Lingual Cochlear Implant Users

Amy McConkey Robbins, MS, CCC-SLP

October 10, 2005

My daughter Danielle was diagnosed with profound bilateral hearing loss at one month of age. She was implanted at 10 months. She hears the grass grow. Her receptive speech is about age appropriate, ex...   Read More

  


Top-down v. Bottom-up Processing

Judy Duchan, PhD

October 3, 2005

What is the difference between top-down and bottom-up processing in relation to the auditory system?   Read More

 


Earplugs for Pressure Equalization in Flight

Westone Laboratories Inc.

October 3, 2005

I have tinnitus and my ears are sensitive to air pressure changes in airplane rides. I would like to have custom earplugs made (from ear impressions) that protect against that pressure change. Are you...   Read More

 


Horizontal Positional Nystagmus and BPPV

Alan L. Desmond, AuD

September 26, 2005

If horizontal nystagmus is present during positional testing, and also seen during the Dix-Hallpike, (a)what is the correct way to report it? I thought it was not BPPV unless torsional (rotational) ny...   Read More


Cleaning and Disinfecting Hearing Aids and Earmolds

A. U. Bankaitis, PhD, FAAA

September 19, 2005

Please tell me the best way to clean and disinfect hearing aids? And, what can you tell me about the transmission of disease via hearing aids? Thanks.   Read More


Advantages and Disadvantages of Insert Earphones with Pediatric Fittings

Richard Seewald, PhD

September 12, 2005

I am aware of many benefits of using insert earphones with children and with patients of all ages. My employer is concerned that threshold information obtained with inserts in small ear canals may not...   Read More

   


Response Latency for Dix-Hallpike

Alan L. Desmond, AuD

August 29, 2005

Is there any clinical significance as to the time of onset of the nystagmus and dizziness when doing the Hallpike for example, 10 seconds versus 40 seconds?   Read More


Causes of Retrograde Amnesia

Amy Ogburn Yeager, PhD

August 22, 2005

What are all the causes of retrograde amnesia?   Read More


Norms on Bone Conduction Tone Burst ABR

Roanne Karzon, PhD, CCC-A

August 15, 2005

Do you have any normative data on bone conduction tone burst ABR by frequency (500, 2,4k Hz) for diagnosing hearing loss in newborns? I need to build our own norms, but would like to see what others h...   Read More

  


Disproportionate NIHL Among Female Workers

Lee D. Hager

August 8, 2005

I review a large number of audiograms from industry. It seems there are a disproportional number of middle aged women with progressing mild-to-moderate, bilateral, flat sensorineural hearing loss. The...   Read More


Protocols for Sale of an Established Practice

Don W. Worthington, PhD

August 1, 2005

PART ONE: Are you aware of any published guidelines or protocolsregarding the closing /sale of an established diagnostic/dispensingprivate practice, specifically regarding notification of clients,main...   Read More


Spontaneous Nystagmus without Unilateral Weakness?

Henry Trahan, MCD

July 25, 2005

Is it possible to have a spontaneous nystagmus without a unilateral weakness?   Read More


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